Open your firewall ports

This is quite important. If your ports aren't open, it won't work properly.

On the Orthanc machine, you need to open port 4242:

sudo firewall-cmd --add-ports=4242/tcp

To make this permanent, run the command again with the --permanent option. Please make sure you add this to the current zone if you're using one.

If you want to also use the http web front end, also open port 8024 using a similar command as above. Note that, to allow remote http access, you need to set "RemoteAccessAllowed" to true in the configuration file and restart the server:

sudo systemctl restart orthanc.service

Add your images and get started

You can now add your dicom images to the server. If you're in the directory where these files are stored, you can use a command like this:

storescu -aec ORTHANC 127.0.0.1 4242 *

You can also use the web frontend to upload images.

Click "Search" in Aeskulap and it'll list your images. Double click on a list item to open it up. More screenshots: